Classification and Treatment of Wrist Bone Fracture:

Trapezium bone accidents are unusual carpal bone accidents. They can either happen in solitude or along with other carpal bony injury. This accounts for 1 to 5 percent of wrist fractures. It could be isolated fracture or dislocations.

Mechanism of Injury

• Fall on an outstretched hand.
• Direct blow over the dorsum of the hand.

Classifications

Trapezium fractures are divided into:

• Body fractures
• Ridge fractures (Palmar)
• Dislocations: This could be dorsal, palmar or radial and may be associated with fracture of the scaphoid and trapezium.

Clinical Features

The patient complains of:

• Pain
• Swelling
• Tenderness over the wrist
• Resisted flexion produces pain

Investigations

Plain X-rays though useful are not reliable. CT scan is a better option.

Treatment

• Undisplaced fracture: Thumb spica for 4 to 6 weeks.
• Displaced fracture: Open reduction and rigid internal fixation is advised.
• Dislocation is treated by open reduction and K-wire fixation.

Alliance Hand Therapy is currently providing care throughout Northern Virginia from our clinics located in Alexandria, Fairfax, Springfield and Woodbridge. Our Hand therapy Program is a specialized treatment program focusing primarily on conditions affecting the hand and upper extremities. Call now at: 703-750-1204 or Visit: http://www.alliancephysicaltherapyva.com